Post Knee replacement mobility

Posted by bushy @bushy, Mar 6, 2020

So, I’m 3.5 weeks out from my knee replacement; flexion gets better every day, but I have such stiffness when getting up from seated position, and not just in the mornings. Will I lose this stiffness over time? I am off the couch every ten minutes, So?

Interested in more discussions like this? Go to the Joint Replacements group.

How long does the stiffness last? Exercising twice a day, 2x a week. Sleeping is tough and morning stiffness is almost unbearable. I still feel I am doing well @115 and 0.

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@nancyjw

How long does the stiffness last? Exercising twice a day, 2x a week. Sleeping is tough and morning stiffness is almost unbearable. I still feel I am doing well @115 and 0.

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Hello @nancyjw, Welcome to Mayo Clinic Connect. You will notice we moved your post to this existing discussion Post Knee replacement mobility – so that you can meet other members with similar symptoms and learn what they have shared. You may also be interested in the following information:

Treating Stiffness After Total Knee Arthroplasty: A Technical Note and Preliminary Results:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414723/

"Joint stiffness is a common, debilitating, age-related symptom, which may be seen after total joint replacement (TJR). Stiffness also occurs in fibrotic conditions such as shoulder capsulitis and Dupuytren's contracture. We speculated that the two traits (TJR and fibrotic disease) are linked pathogenically." excerpt from the following article:
Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509645/

@nancyjw you mentioned you are 4 weeks out from the replacement. Have you discussed the stiffness with your surgeon or care team? I had a lot of the swelling and some pain for a short time after the knee replacement and my surgeon told me I was not elevating and icing the knee enough. I also was faithful with the daily exercises but was not keeping the leg elevated when I was sitting for long periods of time.

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@johnbishop

Hello @nancyjw, Welcome to Mayo Clinic Connect. You will notice we moved your post to this existing discussion Post Knee replacement mobility – so that you can meet other members with similar symptoms and learn what they have shared. You may also be interested in the following information:

Treating Stiffness After Total Knee Arthroplasty: A Technical Note and Preliminary Results:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414723/

"Joint stiffness is a common, debilitating, age-related symptom, which may be seen after total joint replacement (TJR). Stiffness also occurs in fibrotic conditions such as shoulder capsulitis and Dupuytren's contracture. We speculated that the two traits (TJR and fibrotic disease) are linked pathogenically." excerpt from the following article:
Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509645/

@nancyjw you mentioned you are 4 weeks out from the replacement. Have you discussed the stiffness with your surgeon or care team? I had a lot of the swelling and some pain for a short time after the knee replacement and my surgeon told me I was not elevating and icing the knee enough. I also was faithful with the daily exercises but was not keeping the leg elevated when I was sitting for long periods of time.

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Thank you John, I am exercising twice a day and noticed I didn’t type PT before the 2x per week. It sounded a bit confusing. I will try to be more patient and ice & elevate!

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I am four months out from TKR and I am having stiffness upon rising from a couch and trying to walk, considerable pain walking and weight bearing. Steps are not fun especially descending. My left knee is just as bad and needs surgery so I'm suffering the double whammy. But I thought I would be a little more spry than I am. Walking like a cross between a robot and a wind-up toy.

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Hello, I am new to this site and not. Even sure I am in the right group. I have a rather unusual situation in that I had a TKR 2 years ago and it was a total success. It corrected the arthritis in my other knee also as I was walking more steadily. Only thing is that I’m afraid that I have done something to upset the balance. A couple of weeks ago I started having pain in the inside of both knees and even more worrysome is that my replaced knee now has the stiffness that it had post surgery ( though not quite as bad, but still bothersome.) I know I overdid it with a 2 hour walk/hike a few weeks ago that had a various surfaces to walk on. I could tell that I was overdoing it and I was! Dr sent me doe X-rays and ultrasound on both knees. Not sure what it will show? Perhaps I should try MFR therapy. I will ask my doctor. Thanks!

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@reesa

Hello, I am new to this site and not. Even sure I am in the right group. I have a rather unusual situation in that I had a TKR 2 years ago and it was a total success. It corrected the arthritis in my other knee also as I was walking more steadily. Only thing is that I’m afraid that I have done something to upset the balance. A couple of weeks ago I started having pain in the inside of both knees and even more worrysome is that my replaced knee now has the stiffness that it had post surgery ( though not quite as bad, but still bothersome.) I know I overdid it with a 2 hour walk/hike a few weeks ago that had a various surfaces to walk on. I could tell that I was overdoing it and I was! Dr sent me doe X-rays and ultrasound on both knees. Not sure what it will show? Perhaps I should try MFR therapy. I will ask my doctor. Thanks!

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Welcome @reesa to Connect. You are in the right group……joint replacements. I would be pretty upset if my knee repair began to regress. I did have a couple of similar episodes. It was scar tissue once and then hyper extension the next time. Has someone taught you how to intervene? My MFR therapist did work it out. The scar tissuen took about 4 sessions and the hyperextension took longer. I went back to ICE and elevate. It all went away eventually. Now, my therapist checks it every week.

Have you begun MFR yet?

May you be free of suffering and the causes of suffering.
Chris

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@artscaping

Welcome @reesa to Connect. You are in the right group……joint replacements. I would be pretty upset if my knee repair began to regress. I did have a couple of similar episodes. It was scar tissue once and then hyper extension the next time. Has someone taught you how to intervene? My MFR therapist did work it out. The scar tissuen took about 4 sessions and the hyperextension took longer. I went back to ICE and elevate. It all went away eventually. Now, my therapist checks it every week.

Have you begun MFR yet?

May you be free of suffering and the causes of suffering.
Chris

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Please see my reply below in general comments…I’m getting used to using the site! Appreciate your feedback.

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@reesa

Please see my reply below in general comments…I’m getting used to using the site! Appreciate your feedback.

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… I hope you can see the comments I posted in general comments. I will try MFR. knee is very stiff and ice. Thanks for your reply. I was wondering about your question, “ has someone taught you to interviene? “. Do you mean MFR therapy? How long did you have to go for MFR? Thanks!

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Good afternoon @reesa, Thanks for your response. Unfortunately. I do not have a General Comments area. You can just go ahead and reply to my post. Regarding MFR therapy, the scar tissue took 4 sessions and the hyperextension about 2 months. Usually, those areas take about 20 minutes of a therapy hour. I am now trying to get my left thigh to calm down. We are on week three of that problem.

Please remember that I have two MFR sessions a week just to keep the chronic pain under control while trying to keep these specific areas quiet. Where do you want to start? What area is the least responsive to medication or treatments?

May you have peace and ease.
Chris

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@artscaping

Good afternoon @reesa, Thanks for your response. Unfortunately. I do not have a General Comments area. You can just go ahead and reply to my post. Regarding MFR therapy, the scar tissue took 4 sessions and the hyperextension about 2 months. Usually, those areas take about 20 minutes of a therapy hour. I am now trying to get my left thigh to calm down. We are on week three of that problem.

Please remember that I have two MFR sessions a week just to keep the chronic pain under control while trying to keep these specific areas quiet. Where do you want to start? What area is the least responsive to medication or treatments?

May you have peace and ease.
Chris

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Thanks Chris, It sounds like you have a few more issues going on if you have hyperextention as well as scar tissue. It must be tough. I believe that it is scar tissue I have as my knee is VERY numb and it is now extending to my foot so it feels like my foot hard like a board. The same feeling as I had post surgery 2 years ago. I will be calling to find a MFR therapist tomorrow morning. Thanks for pointing me in that direction. From what I can understand from what I’ve read it sounds like it is the “fascia” connective tissue that is so tight and needs to be broken up but that’s just my “lay “ persons analysis of things. I’ll see what the Physio says. I also understand that there is no test at all that shows the fascia tissue so it’s just from the trained eye ( or feel ) of the therapist.
It’s tough to accept your limitations as you get older ( just turned 69) and I though a new knee meant I could do anything. This has taught me a lesson. I’ll let you know if therapy works ( hopefully).
Thanks again!

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@reesa

Thanks Chris, It sounds like you have a few more issues going on if you have hyperextention as well as scar tissue. It must be tough. I believe that it is scar tissue I have as my knee is VERY numb and it is now extending to my foot so it feels like my foot hard like a board. The same feeling as I had post surgery 2 years ago. I will be calling to find a MFR therapist tomorrow morning. Thanks for pointing me in that direction. From what I can understand from what I’ve read it sounds like it is the “fascia” connective tissue that is so tight and needs to be broken up but that’s just my “lay “ persons analysis of things. I’ll see what the Physio says. I also understand that there is no test at all that shows the fascia tissue so it’s just from the trained eye ( or feel ) of the therapist.
It’s tough to accept your limitations as you get older ( just turned 69) and I though a new knee meant I could do anything. This has taught me a lesson. I’ll let you know if therapy works ( hopefully).
Thanks again!

Jump to this post

Good evening @reesa. You are absolutely correct. Fascia is the connective tissue. It can "layer up" and become restrictive which is what I think you are feeling as "tight". Good luck with MFR.

May you have peace and ease.
Chris

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I am 11 weeks out and still terrible stiffness and pain. I have complications with a big Baker’s cyst which had gotten even worse after surgery plus lots of swelling all around the knee and pain in back of calf as well as around knee replacement device. Dr tells me that will probably last a year. UGH!
Not what I wanted to hear.
I’m miserable most of the time. Sorry to be a bearer of bad news but I had higher hopes than this.

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